Organization Active NPI

Clear Cut Counseling LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1114538345
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLEAR CUT COUNSELING LLC
Practice address
3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202
Phone
(843) 252-0323
Fax
(910) 364-9966
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Pringle, LPCNPI 1306392139
Title
Psychotherapist- Owner
Phone
(843) 252-0323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202

Mailing address

3691 Palmetto Pointe Blvd Ste 101
Myrtle Beach, SC 29588-1202
Phone (843) 252-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000531 SC Part B Supplier - Clinic/Group Practice 5991244915 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

3691 Palmetto Pointe Blvd
Ste 101
Myrtle Beach, SC 29588
Phone (843) 252-0323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1114538345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 PALMETTO POINTE BLVD STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881202",
            "telephone_number": "843-252-0323",
            "fax_number": "910-364-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 PALMETTO POINTE BLVD STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881202",
            "telephone_number": "843-252-0323",
            "fax_number": "910-364-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CUT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST- OWNER",
        "authorized_official_telephone_number": "843-252-0323",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.